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The mass extended to within 10 mm of the base of the skull and was described as darker than expected with significant pigment per surgical note
The article says GLP-1 receptor agonists directly activate the GLP-1 receptor and suppress appetite hormone signaling, while natural alternatives work indirectly by enhancing metabolic function or supporting behavioral change
Djerassi A, Coutifaris C, West VA, Asa SL, Kapoor SC, Pavlou SN, Snyder PJ: Gonadotroph adenoma in a premenopausal woman secreting follicle-stimulating hormone and causing ovarian hyperstimulation
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Obstetrics and Gynecology Clinics, 48(1), 131-144
